STUMPTOWN LAB SERVICES LLC
NPI 1326869579
Clinical Medical Laboratory in Portland, OR

Active since October 21, 2024CLIA 38D2313450 · Waiver
1355 NW EVERETT ST STE 100, PORTLAND, OR 97209(971) 433-5334(971) 200-8669 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stumptown Lab Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STUMPTOWN LAB SERVICES LLC (NPI 1326869579) is a healthcare organization registered as a clinical medical laboratory in Portland, Oregon and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Timothy L Seaton, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1326869579
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSTUMPTOWN LAB SERVICES LLC
Location Address1355 NW EVERETT ST STE 100Portland, OR 97209-2655
Mailing Address1355 Nw Everett St Ste 100Portland, OR 97209-2655 · (971) 433-5334 · Fax (971) 200-8669
Fax(971) 200-8669
Organization SubpartNo
Authorized OfficialTimothy L SeatonManaging Director · (971) 433-5334
Enumeration DateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
NPI 1326869579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedTechnician, Pathology · PhlebotomyTaxonomy 246RP1900X
1355 NW EVERETT ST STE 100, Portland, OR 97209

Other Names 1

Other NameStumptown Laboratory Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2313450

Stumptown Lab Services LLC · Portland, OR
Active · expires Oct 30, 2026
CLIA Number38D2313450
Laboratory TypeMobile Laboratory
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorTadhg L. Shannon
Laboratory Phone(971) 433-5334
Laboratory LocationStumptown Lab Services LLC1355 NW Everett St, Ste 100, Portland, OR 97209
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
1355 NW EVERETT ST STE 100
PORTLAND, OR 97209
Technician, Pathology (Phlebotomy)
1355 NW EVERETT ST STE 100
PORTLAND, OR 97209
Technician, Pathology (Phlebotomy)
1355 NW EVERETT ST STE 100
PORTLAND, OR 97209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stumptown Lab Services LLC's NPI number?

The NPI number for Stumptown Lab Services LLC is 1326869579. It was assigned to this organization in the NPPES registry on October 21, 2024. The provider is also known as Stumptown Laboratory Services.

Where is Stumptown Lab Services LLC located?

Stumptown Lab Services LLC is located at 1355 NW Everett St Ste 100, Portland, OR 97209. The listed phone number is (971) 433-5334.

What is Stumptown Lab Services LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Stumptown Lab Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2313450) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stumptown Lab Services LLC was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.